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Home My WebLink About0043149-Electric (service change) �3� No � 43149 4 n CITY OF OSHKOSH `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC � PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ; ADDRESS�� (� � ,��'�- PLAN NO. OWNER DESIGNER USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height � Foundation Class of Const. Occupancy Permit ► HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ FueVSystem Heat Loss BTU'S ELECTRIC CONTRACTOR � Electric Serv. New ❑ Change�Temp ❑ Type� Volts�� Amps �d`7 Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR _BT —WH _Disp —WSoft —CBasin _Lav ._Sh _DW —DF —San. Sewer _WC —FDr _SP —Ur —Storm Sewer —Sink —LTub _Eject --SS —Water Other FEES: Valuation $ �o � '� `� Permit Fee Paid $ � '� `a Park Dedication $ ISSUED BY ~ Date� �5 — Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE AGENTiOWNER DATE : ADDRESS rE�EPHOr�E�r � �3� � j PERMIT NO. �� 9 . APPL. DATE /�28�� ELEC. CONTR. � � ' � � ( OWNER C;�' � � i � ADDRESS I� /3 �, ��"�� M ; � NA�'URE OF WORK € ! ELEC. SERV. NEW CHANS',F� Z. — � �Mp � DL�SC. TYPE ' VOLTS AP�S /d�? � FIX' S SW'S RECEPT' S CIRC'S � ; APPLIANCES s ; ` � SIGNS � � INSP. ROU H N SERVICE FINAL � � EST. COST �O o PERMIT FE -�fl,d� DATE PD. �'i � � � REMARKS � � t � � � � � � C�� / � PERMIT NO. . APPL. DATE /a �s/S/� � I/ � f � C. CONTR. 1/ � ��-�. � OWNER Q�9 �� J t ADDRESS / ��3 �itJ - � � � � NATURE OF WORK � ELEC. SERV. NEW `2-"3 o TEI�. � DESC. TYPE VOLTS 3 c.�J Ai�S !s`° � FIX' S SW'S 12ECEpT' S CIRC'S � � APPLIANCES � � € INSP. ROUGHIN SERVICE I� � �iY FINAL i EST. COST 5�0 •i' =' PERMZT FEE o��✓.�� r' DATE PD. � REMARKS E . � � i ; �a � �